Interactions

A. Top Drug-Drug Interactions:

1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).

2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.

3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.

Other Drug-Drug interactions:

• Ketoconazole, itraconazole (used to manage fungal infection)
• Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
• Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
• Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
• Other medicines used to improve blood flow to the penis (Ex. sildenafil)

B. Drug-Food Interactions:

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:

1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.

Karnesaftanitis (tadalafil) is a medication used to treat angina by increasing blood flow to the penis, thereby managing blood pressure reduction. It is primarily used to treat high blood pressure (hypertension) and is used to treat conditions where the blood vessels in the lungs are not working properly.

C.

Here are the key drug-food interactions:

1. : Though not a direct interaction, combining Cialis with Cialis use can worsen side effects like headaches or increase heart rate in sensitive individuals.
2. : While blood pressure may not be as effective when used with a high-fat meal, a lighter meal may improve symptoms like dizziness or increase heart rate.

This medication may be available under multiple brand names and/or in two different forms. In these circumstances, a brand name may be considered.

What is Cialis?

Cialis (tadalafil) is used to treat erectile dysfunction (ED), benign prostatic hyperplasia (BPH), and pulmonary arterial hypertension (PAH).

Cialis is available in 20mg, 40mg, and 60mg tablets. The 40mg tablet is taken as a single dose. The 60mg tablet is taken once daily.

Cialis Dosage

Cialis may be taken with or without food. However, take it at the same time each day.

Cialis Side Effects

The most common side effects of Cialis include:

• Headache
• Indigestion
• Muscle pain
• Back pain
• Diarrhea
• Nausea
• Flushing
• Stuffy or runny nose

What should I watch for while taking Cialis?

• Do not take more than the recommended dose or use Cialis more often than prescribed.
• Do not take Cialis more than once per day.
• Do not take Cialis more than once a day, even if you think you will benefit from it.
• Do not take Cialis more than once a week.
• Do not take Cialis more than once per month.
• Cialis may cause mild or serious side effects. If you experience any serious side effects or have any concerns, tell your doctor. They may adjust your dosage or suggest alternative treatment options. Call your doctor at once if you have a painful erection, chest pain, or swelling of the face, lips, tongue, or throat.

Some side effects of Cialis may include:

• Facial flushing
• Heartburn
• Increased blood pressure
• Dizziness
• Dryness of the mouth
• Sensitivity of the hands and feet
• Stomach upset

The most common side effects of Cialis may include:

• Drowsiness
• Fatigue
• Irritation of the mouth
• Difficulty in swallowing
• Insomnia
• Weakness

If you experience any serious side effects, call your doctor or seek medical attention right away.

How should I take Cialis?

Take Cialis exactly as prescribed by your doctor. Do not take it more often than prescribed.

Swallow Cialis whole or in a measuring cup. Do not chew, break, or crush it. You can take Cialis with or without food.

What happens if I miss a dose?

If you miss a dose of Cialis, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next dose as scheduled. Do not take extra doses to make up for the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. If you suspect an overdose, call 911 or the local emergency number at 1-800-222-1222.

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Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Cialis use include:

• Headache
• Indigestion
• Heartburn
• Upset stomach
• Gas
• Nausea
• Flushing

More severe side effects include:

• Painful erections or erections that last longer than 4 hours
• Sudden loss of vision
• Sudden loss of hearing
• Ringing in the ears
• Chest pain
• Shortness of breath
• Painful urination
• Increased urination frequency
• Fainting
• Dizziness
• Skin rash
• Hives
• Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

Cialis 1mg Tablets 5 Tablets 28 tablets 60 tablets 90 tablets 180 tablets 270 tabletsrero central call8:30 a.m. - 1:30 p.m.

Erythematous rash that may contain fluid and pus-like discharge, which may be bloody, black, or tarry, and then looks like brown or blackish white. It may also have crusty stools or large, scab-like purions.

Also, tell your doctor if you have ever had a prolonged QT interval or have heart failure with a recent history of this condition.

In addition, let your doctor know if you are a woman or a men. Cialis can affect men’s blood vessels, causing sudden drops in blood pressure that’s dangerous.

If you experience any changes in your heart, breathing, or liver function, contact your health care provider immediately.

Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Cialis use include:

• Headache
• Indigestion
• Heartburn
• Upset stomach
• Gas
• Nausea
• Flushing

More severe side effects include:

• Painful erections or erections that last longer than 4 hours
• Sudden loss of vision
• Sudden loss of hearing
• Ringing in the ears
• Chest pain
• Shortness of breath
• Painful urination
• Increased urination frequency
• Fainting
• Dizziness
• Skin rash
• Hives
• Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

Read more about Cialis's possible side effects.azithromycin review

In rare cases, Cialis can cause serious side effects such as:

Nurgo sexual dysfunction

Other serious side effects may include:

Papaverine upper respiratory infection

Report any anatomical deformities of the penis (such as Peyronie's disease or heart defects) to your doctor, nurse, or pharmacist if you suffer from one of these conditions.

Electrolyte and kidney problems due to reduced kidney function

Electrolyte and kidney problems due to reduced kidney function are rare, but may occur. Your doctor may prescribe a less desirable drug to treat these conditions.

Electrolyte imbalances are common. Learn more about coenzyme Q10, sevelamer, and beryllium balance in man.

Electrolyte imbalances are rare, but may occur.

Your doctor may provide you with a nutrition program that can help maintain proper electrolyte and kidney function.